Actually, they develop a tolerance, and secondly when the pills wear off, they ARE MORE SENSITIVE TO PAIN, SO THEY NEED THAT NEXT PILL.
But in addition, I’m seeing a few, actually more than a few, who will fill the prescriptions from their docs monthly on the button, but may or may not take many or any of the pills. These people, usually unemployed, are selling the meds for 15-20 bucks per pill.
Oh, and yes, they’re getting the meds from the pain center, who does the drug test when they come in each month, and so they simply get on the meds the day or two before to test positive on the drug test, proving use.
It’s a big game. Pain centers...esp.
What kind of physician are you? I think your disinformation is probably detrimental to your patients. As a physician (anesthesiologist) I disagree with your statements that are less than scientific.